護理師照護一位有癲癇病史的病人。護理師應將哪些安全措施納入照護計畫？（選所有適合的）
A nurse is caring for a client with a history of seizures. Which actions should the nurse include in the client's care plan for safety? (Select all that apply.)
- AKeep a tongue blade at the bedside在床邊備置舌壓板
- BMaintain bed in lowest position✓ 正解保持床位在最低位置
- CPad the bed side rails✓ 正解軟墊床欄
- DClear the area of hard objects during a seizure✓ 正解發作期間清除周圍硬物
- EPlace the client in a side-lying position✓ 正解將病人置於側臥姿勢
癲癇（seizure）照護的首要目標是保護病人不受外傷並維持呼吸道通暢。 選項 B 正確：床位降至最低能減少病人若從床上跌落時的受傷高度。 選項 C 正確：床欄加裝軟墊（pad side rails）能防止病人在強烈抽搐時撞擊床欄。 選項 D 正確：發作時迅速移除周邊硬物（家具、尖銳物品）能預防外傷。 選項 E 正確：側臥姿勢（side-lying / recovery position）能讓口腔分泌物或嘔吐物自然流出，預防誤吸。 選項 A 錯誤：舌壓板（tongue blade）已被現代護理淘汰。發作時強行撬開口腔會造成牙齒斷裂、口腔軟組織損傷，且舌頭並不會被自己「吞下」。床邊應準備抽吸設備而非舌壓板。
The primary goal of seizure care is to protect the client from injury and maintain airway patency. B is correct: Lowest bed position minimizes injury height if the client falls. C is correct: Padded side rails prevent injury from forceful contact during convulsions. D is correct: Clearing the area of hard objects prevents trauma during the seizure. E is correct: Side-lying (recovery) position allows secretions and vomit to drain, preventing aspiration. A is incorrect: Tongue blades are no longer used. Forcing anything into the mouth causes dental injury and soft tissue trauma, and the tongue cannot be 'swallowed.' Suction equipment, not a tongue blade, should be at the bedside.